护理人员职业性肌肉骨骼疾患防护相关知识、态度、行为和组织支持调查表的编制及信效度检验
Construction of Questionnaire of Occupation Musculoskeletal Disorders on Protective Knowledge, Attitude, Behavior and Organizational Support in Nursing Staff and its reliability and validity
目的 编制护理人员职业性肌肉骨骼疾患(OMD)防护相关知识、态度、行为和组织支持调查表,并对其进行条目分析及信效度检验.方法 成立专家小组,以知信行理论为基础,参考《改善医护人员工作条件行动手册》《改善医护人员工作条件师资指南》以及人类工效学、人体生物力学、疼痛学等知识,并查阅大量国内外文献、书籍,同时结合研究对象访谈和专家咨询的方法,形成调查表初稿.于2016年3-4月对符合纳入标准的300名护理人员进行预调查,并进行信度、效度评价.结果 本调查表共包括4个维度45个条目.各维度及其条目数分别为:防护相关知识13条,防护态度8条,防护行为14条,组织支持10条.调查表的Cronbach's α系数为0.833~0.977,折半信度为0.751~0.975,重测信度为0.725~0.954,防护相关知识、态度、行为及组织支持维度的内容效度指数分别为0.940、0.963、0.919和0.852,经探索性因子分析提取8个公因子,累计贡献率为73.715%.结论 形成的终版OMD防护相关知识、态度、行为和组织支持调查表信度和效度均较好,可以为护理人员职业性肌肉骨骼疾患防护状况的调研提供依据.
更多Objective To develop a questionnaire of occupational musculoskeletal disorders protective knowledge, attitude, behavior and organizational support in nursing staff, analyze its entries and test the reliability and validity of it. Methods Expert group was set up at first. The preliminary draft of questionnaire was formed based on the theory of knowledge-attitude-belief-practice (KABP), referring to Manual on Improving the Working Conditions of Medical Staff and Teaching Guide for Improving the Working Conditions of Medical Staff and knowledge of human ergonomics, human biomechanics and pain science, and consulting a large number of documents and books in China and abroad, and combining the methods of interview and expert consultation. A total of 300 nursing staff who met the inclusion criteria were recruited in the investigation from March to April 2016, and the reliability and validity were evaluated. Results The questionnaire contained a total of 4 dimensions and 45 retained. The entry number of each dimension were: protection knowledge 13, protective attitude 8, protection behavior 14, and organizational support 10. The Cronbach's α coefficient was from 0.833 to 0.977, binary reliability from 0.751 to 0.975, retest reliability from 0.725 to 0.954. The content validity index of protection related knowledge, attitude, behavior and organizational support were 0.940, 0.963, 0.919 and 0.852 respectively. 8 common factor extracted by exploratory factor analysis, and the cumulative contribution rate reached 73.715%. Conclusions The final nursing questionnaire of occupational musculoskeletal disorders protective knowledge, attitude, behavior and organizational support has good reliability and validity, which can provide reference for the research of the occupational musculoskeletal disorders in nursing staff.
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